• français
    • English
    français
  • Login
Help
View Item 
  •   Home
  • Institut de Biomécanique Humaine Georges Charpak (IBHGC)
  • View Item
  • Home
  • Institut de Biomécanique Humaine Georges Charpak (IBHGC)
  • View Item
JavaScript is disabled for your browser. Some features of this site may not work without it.

Tridimensional Analysis of Rotatory Subluxation and Sagittal Spinopelvic Alignment in the Setting of Adult Spinal Deformity

Article dans une revue avec comité de lecture
Author
FERRERO, Emmanuelle
300119 Hôpital Européen Georges Pompidou [APHP] [HEGP]
358726 Hospital for Special Surgery
LAFAGE, Renaud
358726 Hospital for Special Surgery
DIEBO, Bassel G.
358726 Hospital for Special Surgery
CHALLIER, Vincent
358726 Hospital for Special Surgery
ILLHARREBORDE, Brice
116327 Hôpital Robert Debré Paris
SCHWAB, Frank
358726 Hospital for Special Surgery
ccSKALLI, Wafa
1001024 Laboratoire de biomécanique [LBM]
GUIGUI, Pierre
300119 Hôpital Européen Georges Pompidou [APHP] [HEGP]
LAFAGE, Virginie
358726 Hospital for Special Surgery

URI
http://hdl.handle.net/10985/20230
DOI
10.1016/j.jspd.2017.01.003
Date
2017
Journal
Spine Deformity

Abstract

Study Design: Retrospective single-center. Objective : To investigate rotatory subluxation (RS) in adult spinal deformity (ASD) with three-dimensional (3D) stereoradiographic images and analyze relationships between RS, transverse plane parameters, spinopelvic parameters, and clinical outcomes. Background: Recent research has demonstrated that sagittal plane malalignment and listhesis correlate with ASD patient-reported outcomes. However, there is still a lack of knowledge regarding the clinical impact of 3D evaluation and rotatory subluxation. Recent developments in stereoradiography allow clinicians to obtain full-body standing radiographs with low-dose radiation and 3D reconstruction. Methods: One hundred thirty lumbar ASD patients underwent full-spine biplanar radiographs (EOS Imaging, Paris, France). Clinical outcomes were recorded. Using sterEOS software, spinopelvic parameters and lateral listhesis were measured. 3D transverse plane parameters included apical axial vertebral rotation, axial intervertebral rotation (AIR), and torsion index (sum of AIR in the curve). ASD patients were divided in three groups: AIR <5°, 5°< AIR <10°, AIR >10°. Groups were compared with respect to radiographic and clinical data. Correlations were performed between the transverse and sagittal plane parameters and clinical outcomes. Results: Patients with AIR >10° were significantly older, with larger Cobb angle (39.5°) and greater sagittal plane deformity (pelvic incidence–lumbar lordosis mismatch 11.7° and pelvic tilt 22.6°). The AIR >10° group had significantly greater apical vertebra axial rotation apex (24.8°), torsion index (45°), and upper-level AIR (21.5°) than the two other groups. Overall, 27% of AIR patients did not have two-dimensional (2D) lateral listhesis. Patients with AIR >10° had significantly worse Oswestry Disability Index and more low back pain. Conclusion : For patients in which lateral listhesis was unreadable in 2D imaging, rotatory subluxation was revealed using stereoradiography and at an earlier disease stage. Moreover, different 3D transverse plane parameters are related to different patient-reported outcomes. Therefore, axial rotation can be considered in evaluation of lumbar degenerative scoliosis severity and prognosis.

Files in this item

Name:
IBHGC_SD_2017_SKALLI.pdf
Size:
1.657Mb
Format:
PDF
View/Open

Collections

  • Institut de Biomécanique Humaine Georges Charpak (IBHGC)

Related items

Showing items related by title, author, creator and subject.

  • Clinical and stereoradiographic analysis of adult spinal deformity with and without rotatory subluxation 
    Article dans une revue avec comité de lecture
    FERRERO, Emmanuelle; LAFAGE, Renaud; CHALLIER, Vincent; DIEBO, Bassel G.; GUIGUI, Pierre; MAZDA, Keyvan; SCHWAB, Frank; ccSKALLI, Wafa; LAFAGE, Virginie (Elsevier Masson, 2015)
    Introduction: In degenerative adult spinal deformity (ASD), sagittal malalignment and rotatory sublux-ation (RS) correlate with clinical symptomatology. RS is defined as axial rotation with lateral listhesis.Stereoradiography, ...
  • Assessing Abnormal Proximal Junctional Angles in Adult Spinal Deformity 
    Article dans une revue avec comité de lecture
    ccKHALIFÉ, Marc; LAFAGE, Renaud; DANIELS, Alan H.; DIEBO, Bassel G.; ELYSEE, Jonathan; AMES, Christopher P.; BESS, Shay R.; BURTON, Douglas C.; EASTLACK, Robert K.; GUPTA, Munish C.; HOSTIN, Richard; KEBAISH, Khaled; KIM, Han-Jo; KLINEBERG, Eric; MUNDIS, Gregory; OKONKWO, David O.; ccGUIGUI, Pierre; FERRERO, Emmanuelle; ccSKALLI, Wafa; ASSI, Ayman; ccVERGARI, Claudio; SHAFFREY, Christopher; SMITH, Justin S.; SCHWAB, Frank J.; ccLAFAGE, Virginie (Ovid Technologies (Wolters Kluwer Health), 2025-01)
    Study design: Multicentric retrospective study of prospectively collected data. Objective: Based on normative data from a cohort of asymptomatic volunteers, ...
  • Three-dimensional reconstruction using stereoradiography for evaluating adult spinal deformity: a reproducibility study. 
    Article dans une revue avec comité de lecture
    FERRERO, Emmanuelle; LAFAGE, Renaud; VIRA, Shaleen; OREN, Jonathan; DELSOLE, Edward; GUIGUI, Pierre; SCHWAB, Frank; LAFAGE, Virginie; ccSKALLI, Wafa; ccROHAN, Pierre-Yves (Springer Verlag, 2016)
    PURPOSE: In addition to the sagittal alignment, impact of transverse plane parameters (TPP) and rotatory subluxation on patients reported outcomes were highlighted. One of the hypotheses for genesis of degenerative scoliosis ...
  • Disc Versus Vertebral Body Contribution to Lumbar Lordosis in Asymptomatic Subjects 
    Article dans une revue avec comité de lecture
    ccKHALIFÉ, Marc; LAFAGE, Renaud; FERRERO, Emmanuelle; ELYSEE, Jonathan; ASSI, Ayman; ccGILLE, Olivier; ccFINOCO, Mikael; ccSKALLI, Wafa; ccGUIGUI, Pierre; ccVERGARI, Claudio; ccLAFAGE, Virginie (Ovid Technologies (Wolters Kluwer Health), 2024-09)
    Study Design. Retrospective study of a multicentric prospective database. Objective. This study aimed at describing the relative contribution of vertebral bodies versus discs to ...
  • Sex-dependent evolution of whole-body postural alignment with age 
    Article dans une revue avec comité de lecture
    KHALIFE, Marc; ccSKALLI, Wafa; ASSI, Ayman; ccGUIGUI, Pierre; ccATTALI, Valerie; VALENTIN, Rémi; GILLE, Olivier; ccLAFAGE, Virginie; KIM, Han-Jo; FERRERO, Emmanuelle; ccVERGARI, Claudio (Springer Science and Business Media LLC, 2024-06)
    Purpose The goal of this study was to explore sex-related variations of global alignment parameters and their distinct evolution patterns across age groups. Methods This multicentric retrospective study included healthy ...

Browse

All SAMCommunities & CollectionsAuthorsIssue DateCenter / InstitutionThis CollectionAuthorsIssue DateCenter / Institution

Newsletter

Latest newsletterPrevious newsletters

Statistics

Most Popular ItemsStatistics by CountryMost Popular Authors

ÉCOLE NATIONALE SUPERIEURE D'ARTS ET METIERS

  • Contact
  • Mentions légales

ÉCOLE NATIONALE SUPERIEURE D'ARTS ET METIERS

  • Contact
  • Mentions légales